3

Helps acne:
Birth conrol pills are helpful for acne only while you are taking them.They do not clear acne completely and the response is variable. Ortho tricyclen is a traditional choice. Other birth control can be used. Topical medications will still be necessary and if it is severe Accutane may need to be considered.
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4

My choice:
Under a doc's supervision, a well tolerated and generally safe one I use in my practice is Phentermine (adipex). Have your blood pressure (BP) checked before and during treatment as increase in bp, heart rate, insomnia, headache and nausea are common. It works by suppressing your appetite. You take it in the morning after breakfast. Expect roughly 8-10 lb wt loss over 3 months.
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6

Best is relative:
Isotretinoin is generally considered the most potent oral acne medication but not necessarily the "Best" especially in females of child bearing age. The best is ultimately decided between the patient and their provider.
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7

I like Melatonin.:
Some people use chamomile or valerian root. Additionally, there are many over the counter products that you can purchase. Are you using good sleep hygiene? Retire ; rise same time each day. Keep bedroom dark ; cool ; use only for sex ; sleep. Turn off tv. No naps. Exercise regularly but not in late evening. No caffeine for 6 hrs ; no alcohol or tobacco w/i 2 hrs of sleep. Keep dinner moderate >.
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8

See Dermatologist:
Best to be seen by a well experienced board-certified dermatologist; nothing replaces in person history and physical when it comes to good medical care/recommendations. Best wishes.
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10

Meds:
Many patients do well with over the counter benzoyl peroxide or salicylic acid preparations. Some patients require topical or oral antibiotics or retinoids as well. If the over the counter meds alone don't control your acne after a month of daily use, see a doctor for additional treatment options. It is important to be persistent, and some patients "get worse before they get better".
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12

I use clindamycin:
Over-the-counter stuff doesn't work. I prefer topical Clindamycin with or without a retinoic acid derivative for starters. I add oral tetracycline or Erythromycin depending on what's right for the person should it be necessary. Dermatologists have the big guns for severe disease. Good luck.
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13

Some will help:
And some won't it depends on how u react to the pill and which pill is used, the pill is supposed to bind up the free testosterone so less gets to the face where it can cause acne.
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14

Trans*-Competent Doc:
You really don't want solid medical advice here tailored to YOU. To find vetted trans-competent surgeons try the doc referral service of the World Professional Association for Tansgender Health (WPATH) http://bit.Ly/wbprqt Familiarize yourself with the current WPATH Standards of Care: http://bit.Ly/nwkqv5. Read about medical standards of care at UCSF Center for Excellence for Transgender Health.
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15

Get an Rx instead:
Over-the-counter preparations do not work well. I start with topical Clindamycin with or without a retinoic acid derivative. If needed after a few weeks, consider adding an oral antibiotic such as Erythromycin or tetracycline / Minocycline as suitable for the individual. Dermatologists have the big guns -- accutane, lasers. Freedom from acne should be a person's right. Good luck.
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17

Birth Control:
1) abstinence - but fails a lot
2) hysterectomy - but a little invasie
3) the Mirena (levonorgestrel) iud - with a failure rate of about 1/2000 its even better than having your tubes tied, which still fails at a rate of 1/200 (true!).
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19

Best acne treatment:
Isotretinoin has best results, but is not for everyone. Each person's acne is unique and treatment should be tailored to the individual. See a dermatologist to discuss the best and different options for you.
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